Annex 3. Timelines of key activities per strategy

2023

2022

2021

2020

Annex 3. Timelines of key activities per strategy

KEY ACTIVITIES

STRATEGIES ON SCREENING STRATEGY 1: Intensified case finding (ICF)

Expand chest X-ray voucher system Inclusion of chest X-ray benefit in PhilHealth package under UHC Health-care worker surveillance Online reporting system for workplace chest X-ray screening Develop regulatory policies for mandatory reporting of chest X-ray census and results Adoption of ICF approach in hospitals

STRATEGY 2: Active case finding (ACF)

Develop policy on use of digital chest X-ray and artificial intelligence for reading Guidelines on how to conduct ACF (and ICF) Outsourcing chest X-ray provider, or deployment of one-stop mobile chest X-ray with RDT (1 per province-wide/citywide health system) Social and behavior change campaign for ACF

STRATEGY 3: Enhanced case finding (ECF)

Professionalize community volunteers (capacity-building and incentives) as TB navigators Develop capacity-building program and tools for TB navigators Formation and capacity-building of patient support groups Community-based sputum collection and transport Expand and scale up pharmacy referral for identified presumptive TB

STRATEGY 4: Contact investigation

Integrate contact investigation in ACF and ICF Utilize NDPs and TB navigators for contact investigations and sputum collection Expand use of TST (or IGRA) for screening of LTBI

2023

2022

2021

2020

Annex 3. Timelines of key activities per strategy (Con’t) KEY ACTIVITIES

STRATEGIES ON TESTING AND DIAGNOSIS STRATEGY 5: Push mandatory notification

Dissemination and implementation of TB Law and IRR (mandatory notification) Development of administrative order on mandatory TB notification Develop reporting platforms for notification Deployment of TB notification project associates in regions Enhancement of referral mechanisms between facilities Explore notification from pharmacies and bacteriologic laboratories Diagnostic connectivity for private laboratory notification Engagement of professional societies, private hospitals and private physicians Incentive schemes for private sector notification (e.g. through PhilHealth)

STRATEGY 6: RDT expansion and utilization

Sustain and establish additional RTDLs through procurement and placement of RDT machine and consumables (e.g. cartridges) Simplification of diagnostic algorithm Provision of additional STRiderS to include private facilities as catchment Diagnostic connectivity for TB laboratories and treatment facilities Capacity-building of health providers (public and private) Establish and sustain quality assurance mechanisms and ensure equipment maintenance for TB laboratories Sustain and expand private sector laboratory consortium Laboratory Network Strategic Plan (LNSP) implementation and monitoring (Road map for expansion of rapid molecular testing) Operational researches on RDT among pediatric patients using extrapulmonary specimens

STRATEGY 7: LPA/DST Optimization

Increase capacity of LPA and phenotypic DST labs (additional LPA sites) Establish additional LPA laboratories Optimize specimen transport systems for LPA and culture centers Capacity-building of laboratory workers

2023

2022

2021

2020

Annex 3. Timelines of key activities per strategy (Con’t) KEY ACTIVITIES

Quality assurance and equipment maintenance

STRATEGY 8: Improving quality of diagnosis

Assessment of clinical diagnosis of TB Social and behavior change communication for private and public providers Development and dissemination of technical guidelines Capacity-building for HCWs on clinical diagnosis Coordinate with radiologists to standardize chest X-ray reading

STRATEGIES ON TREATMENT STRATEGY 9: Province-wide/citywide HCPN providing full continuum of TB care

Mapping of health facilities providing various TB services iDOTS expansion plan (capacity-building of primary HCWs in DR-TB treatment) Establish the HCPN with referral network Implement iDOTS with overall HCPN implementation Implement integrated approach for co-morbidity management Intensive monitoring and mentoring of iDOTS facilities Revised certification process for facilities and HCPN SBCC for providers and patients Sustain and enhance integrated TB information system

STRATEGY 10: Adopt patient-centered care

Implement patient-centered TB care package Adoption of community- and home-based treatment Establish patient support groups and pool of treatment supporters Develop reporting system on patient experience (feedback) Interventions to assess and improve quality of care/treatment (e.g. mortality review, continuous quality improvement) Rollout of shorter all oral regimens for DR-TB Implement novel tools to improve adherence (digital adherence tools)

2023

2022

2021

2020

Annex 3. Timelines of key activities per strategy (Con’t) KEY ACTIVITIES

Provide social protection measures, enablers

STRATEGY 11: Strengthen aDSM

Issuance of policy on aDSM Develop and implement aDSM reporting system Capacity-building of health workers on aDSM regular conduct of causality analysis Monitoring and mentoring in TB facilities Collaboration with DOH-PD and FDA for aDSM implementation

STRATEGY 12: TB-HIV collaboration

Whole package of services for TB-HIV developed Rollout of PICT nationwide TB screening in PLHIV (may be integrated in screening/ICF) Guidelines, plans and implementation of integrated use of Xpert for TB diagnosis and HIV viral load testing

STRATEGIES FOR PREVENTION STRATEGY 13: Adopt short TB preventive treatment (TPT)

TPT policy review and issuance (part of MOP) Develop road map for TPT strategy Introduction and scale-up use of 3HP and other shorter regimens Monitoring TPT implementation (including reporting from private sector) Development and dissemination of SBC package for provider specific and client specific

STRATEGY 14: Infection prevention and control capacity-building, certification and monitoring

Promotion of infection prevention and control e-modules Development/updating of TB Infection Control compliance checklist Monitoring and supervision on IPC Updating of TB facility certification process Infection control e-training certificate as part of revised certification requirement